DESIREE FREDERICKS

TACOMA, WA
NPI1700365152
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Z00000X Orthotist
(Licence: WA  952667855)
Additional Taxonomies224P00000X Prosthetist
Enumeration Date2018-08-07
Last Update Date2018-08-07
Business Address
DESIREE FREDERICKS
723 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4139
Phone number: 253-383-4447
Mailing Address
DESIREE FREDERICKS
723 MARTIN LUTHER KING JR WAY
TACOMA, WA 98405-4139
Phone number:
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